Enrollment Services - Enrollment Processor - Commercial 160-1031

Communitycare; Tulsa (OK); On-site; USD 28,000 - 36,000; Full time

Job summary

Communitycare is seeking an Enrollment & Eligibility Data Clerk to perform entry, maintenance, and processing of enrollment and eligibility data in a compliant manner. You will review information for accuracy and completeness, process transactions, and maintain member and customer enrollment records with a focus on data integrity.

Ideal candidates will have strong communication, organizational skills, and proficiency with Microsoft Office.

Qualifications

• Strong oral and written communication skills are required.
• Self-motivated with ability to handle multiple tasks with minimal supervision.
• Excellent organizational skills and ability to work with personnel at various levels.
• High attention to detail is essential for accurate enrollment data.
• Microsoft Office proficiency is required.

Responsibilities

• Enter, update, and maintain enrollment and eligibility data for accuracy.
• Review information for completeness and compliance with guidelines.
• Process enrollment transactions, changes, and corrections.
• Maintain accurate enrollment records for members, groups, and customers.
• Queue, route, or generate enrollment-related correspondence as needed.
• Identify incomplete or missing information and escalate as required.
• Ensure processing activities comply with policies and regulatory requirements.
• Perform other duties as assigned.

Skills

Communication skills

Self-motivation

Organizational skills

Cross-level collaboration

Attention to detail

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

JOB SUMMARY

Responsible for performing enrollment and eligibility data entry, updates, maintenance, review, transaction processing, correspondence queueing or routing, issue escalation, and compliance-based enrollment processing in accordance with established guidelines, policies, procedures, and applicable requirements.

KEY RESPONSIBILITIES

• Enter, update, and maintain enrollment and eligibility data; confirm for accuracy.
• Review enrollment information for completeness, accuracy, and compliance with established guidelines.
• Process enrollment transactions, changes, updates, and corrections.
• Maintain accurate member, group, and customer enrollment records through routine data maintenance.
• Queue, route, or generate enrollment-related correspondence as required.
• Identify incomplete, inconsistent, or missing enrollment information and escal.
• Ensure enrollment processing activities comply with internal policies, procedures, and applicable regulatory requirements.
• Perform other job-related duties as required or assigned.

QUALIFICATIONS

• Possess strong oral and written communication skills.
• Self-motivated with the ability to handle multiple tasks and work with minimal supervision
• Strong organizational skills.
• Ability to work effectively with personnel at various levels.
• Must have high attention to detail.
• Successful completion of Health Care Sanctions background check.
• Proficient in Microsoft office applications.

EDUCATION/EXPERIENCE

• High school diploma or equivalency.
• Two years working in an administrative function for a health care institution, insurance company or medical group preferred.